{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:23:44Z","timestamp":1789842224250,"version":"4.0.1"},"reference-count":3,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 50-year-old woman with end-stage kidney disease was admitted for a living-donor kidney transplantation. On post-transplantation day 6, she developed antibody-mediated rejection and was treated with plasmapheresis, rituximab and intravenous immunoglobulin. 1\u2005week later, she developed severe upper gastrointestinal bleeding from multiple duodenal ulcers along the bulb and the third part of the duodenum. She underwent 11 sessions of endoscopic and interventional therapies comprised with the combination of various techniques including bipolar coaptation, hemoclipping, band ligation and angiogram with coil embolisation of duodenal branch of gastroduodenal artery. Histopathology showed neither any organism nor any feature of graft-versus-host disease. However, empiric treatments with intravenous proton pump inhibitor and broad-spectrum antibiotics\/antifungal were given but failed to heal the ulcer, and bleeding recurred from the new developed ulcers. Finally, a single dose of intravenous infliximab was administered to stop bleeding. The patient responded dramatically with rapid ulcers healing and there was no recurrent bleeding during a 3-month follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2013-009025","type":"journal-article","created":{"date-parts":[[2013,4,23]],"date-time":"2013-04-23T23:55:59Z","timestamp":1366761359000},"page":"bcr2013009025","source":"Crossref","is-referenced-by-count":3,"title":["Persistent duodenal ulcers bleeding in postkidney transplant patient treated by infliximab"],"prefix":"10.1136","volume":"2013","author":[{"given":"Piyapan","family":"Prueksapanich","sequence":"first","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rapat","family":"Pittayanon","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingyos","family":"Avihingsanon","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rungsun","family":"Rerknimitr","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,4,23]]},"reference":[{"key":"2025082723124581000_2013.apr23_1.bcr2013009025.1","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1111\/j.1432-2277.2005.00134.x","article-title":"Gastrointestinal complications in renal transplant recipients","volume":"2013","author":"Ponticelli","year":"2005","journal-title":"Transpl Int"},{"key":"2025082723124581000_2013.apr23_1.bcr2013009025.2","doi-asserted-by":"crossref","first-page":"2730","DOI":"10.3748\/wjg.v18.i21.2730","article-title":"Infliximab stopped severe gastrointestinal bleeding in Crohn's disease","volume":"2013","author":"Aniwan","year":"2012","journal-title":"World J Gastroenterol"},{"key":"2025082723124581000_2013.apr23_1.bcr2013009025.3","first-page":"230","article-title":"Idiopathic giant esophageal ulcers in a renal transplant patient responsive to steroid therapy","volume":"2013","author":"Farrell","year":"2000","journal-title":"Transplantation"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:12:53Z","timestamp":1756361573000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,23]]},"references-count":3,"alternative-id":["10.1136\/bcr-2013-009025"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009025","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,23]]}}}